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Archived: Reside at Southwood Inadequate

We are carrying out a review of quality at Reside at Southwood. We will publish a report when our review is complete. Find out more about our inspection reports.
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Inspection report

Date of Inspection: 5 September 2013
Date of Publication: 9 October 2013
Inspection Report published 09 October 2013 PDF | 79.03 KB

People should be given the medicines they need when they need them, and in a safe way (outcome 9)

Meeting this standard

We checked that people who use this service

  • Will have their medicines at the times they need them, and in a safe way.
  • Wherever possible will have information about the medicine being prescribed made available to them or others acting on their behalf.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 5 September 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members, talked with staff and reviewed information given to us by the provider. We talked with other authorities.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

Reasons for our judgement

A senior member of staff assisted us and took us through the arrangements for managing medicines in the home.

We found there were arrangements in place in relation to obtaining medicines. A local pharmacist delivered medication to the home in unit dosage containers. One of two staff had delegated responsibility for checking medications when it was delivered to the home to make sure that people had the correct medicines.

Arrangements were in place in relation to the recording of medicine. We looked at the medication administration records for one section of the home. We saw that a photograph was displayed at the front of people’s medication administration records. This meant that a new member of staff could identify the correct person should they need to administer medication to people.

There was also a sample sheet of staff signatures of staff who had been trained to administer medication to people, so one could determine who had administered medication. Any allergies suffered by a person were also clearly recorded at the front of their medication records.

We found that medication records were being completed in full with no gaps in recording. The provider may find it useful to note that not all hand entries on the medication administration records had been checked and signed by a second member of staff. Without a second person checking the entry, there was an increased risk that any mistake in transcribing could lead to a person getting the wrong medicine.

The home had a controlled drugs register and we saw that a second member of staff witnessed the administration of controlled drugs as required.

Medicines were kept safely. Medicines were stored in one of three locked medication trollies and there were also compliant facilities for storing controlled drugs. The person in charge of medication for each shift had responsibility for the keys to the medication storage facilities. The home also had a small dedicated fridge for the storage of medicines that required refrigeration. We saw that records were kept of daily checks to the fridge temperature to make sure that medicines were stored at the correct temperature. We checked the controlled drugs cabinet and found that the controlled drugs held in the home balanced against the records in the controlled drugs register.

Medicines were safely administered. During the inspection we observed a member of staff administering medication. They were patient with the person they were giving medication to, telling them what the medicine was for. People who were able to tell us about the management of medicines said that the staff were patient and that they had no concerns about the way medicines were managed.

Medicines were disposed of appropriately. We saw that records were maintained of any medicines returned to the pharmacist. The overall system therefore could account for all medicines that came into the home and those returned to the pharmacist.